
ʻIke ʻia kēia alakaʻi piha i nā kumukūʻai a me nā koho lapaʻau no ka maʻi maʻi ʻāʻī, i hoʻokaʻawale ʻia e ka pae. Nānā mākou i nā ala like ʻole, e like me ka ʻoki ʻana, ka chemotherapy, radiation therapy, targeted therapy, a me ka immunotherapy, e wehewehe ana i ko lākou pono, nā hopena ʻaoʻao kūpono, a me nā pae kumukūʻai maʻamau. ʻO ka hoʻomaopopo ʻana i kēia mau mea e hāʻawi i nā mea maʻi a me ko lākou ʻohana e hoʻoholo i ka ʻike e pili ana i kā lākou mālama.
ʻO ka mālama ʻana i ka maʻi ʻaʻai maʻi maʻi e hilinaʻi nui ʻia ma ke kahua o ka maʻi kanesa ma ka maʻi maʻi. Ke hoʻohana nei ka staging i kahi ʻōnaehana (maʻamau I-IV) e wehewehe i ka nui o ka laha ʻana o ke kanesa. Hāʻawi pinepine ka maʻi maʻi maʻi maʻi maʻi mua (Stages I-IIIA) i ka maikaʻi o ka wānana a me ka nui o ka kūleʻa o ka mālama ʻana, ʻoiai ʻo ka maʻi maʻi maʻi maʻi maʻi pae kiʻekiʻe (Stages IIIB-IV) ke hōʻike nei i nā pilikia nui aʻe. Hoʻonohonoho ʻia nā hoʻolālā lapaʻau e pili ana i nā kumu like ʻole me ke kahua, ke ʻano cell, ke olakino holoʻokoʻa, a me nā makemake o nā mea maʻi. ʻOkoʻa nā kumukūʻai e pili ana i kēlā me kēia lapaʻau ma muli o nā kumu e like me kahi o ka haukapila, ka lōʻihi o ka mālama ʻana, a me ka pono o ka mālama kākoʻo hou. E kōkua kēia alakaʻi iā ʻoe e hoʻokele i kēia mau paʻakikī.
ʻO nā koho lapaʻau māmā māmā no ka Papa I, ma'amau ka wehe 'ana i ke koko, he lobectomy a i 'ole pneumonectomy. Hiki ke noʻonoʻo ʻia ka lāʻau lapaʻau i kekahi mau kūlana. ʻOiai ʻoi aku ka maikaʻi o ke kaʻina hana, hiki ke ʻokoʻa nā kumukūʻai ma muli o ka nui o ke kaʻina a me ka hale. ʻO ka mālama post-operative, me ka lāʻau lapaʻau a me ka hoʻoponopono hou, hoʻohui i ka uku holoʻokoʻa. He mea koʻikoʻi ke kūkākūkā me kāu kauka e hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa a me nā kumukūʻai i manaʻo ʻia.
Hoʻohui pinepine nā lāʻau lapaʻau maʻi maʻi ʻāʻī o ka pae II i ke ʻoki ʻana me ka adjuvant chemotherapy a i ʻole radiation therapy. ʻO ka lāʻau Adjuvant ka manaʻo e hōʻemi i ka pilikia o ka hoʻi hou ʻana o ka maʻi kanesa. Piʻi ke kumukūʻai i hoʻohālikelike ʻia i ka Stage I ma muli o nā lāʻau lapaʻau i hoʻohui ʻia. Eia hou, e hilinaʻi ke kumukūʻai kikoʻī i ka hoʻolālā lapaʻau a me kahi o ka mālama. Pono nā poʻe maʻi e kūkākūkā i nā koho āpau me kā lākou oncologist e hoʻomohala i kahi hoʻolālā e kaulike ana i ke kumukūʻai a me ka pono.
ʻOi aku ka paʻakikī o ka maʻi maʻi ʻāʻī o ka pae III a pili i ka hui pū ʻana o ka chemotherapy, radiation therapy, a me ke ʻoki ʻana inā hiki. ʻO kekahi poʻe maʻi paha he mau moho no ka stereotactic body radiation therapy (SBRT), kahi ʻano hoʻolalelale i makemake nui ʻia e hiki ke emi i ka invasive a ʻoi aku ka liʻiliʻi ma mua o ka lāʻau lapaʻau kuʻuna. ʻO nā koho lapaʻau māmā māmā i kēia manawa hiki ke kaupalena ʻia, akā pono ka ʻimi ʻana i nā mea āpau me kāu hui mālama ola. Hiki ke nui ke kumu kūʻai o ka lāʻau lapaʻau, ʻoi aku ka nui me ka hui pū ʻana. Loaʻa paha nā polokalamu kōkua kālā; e ʻimi i kēia mau mea me ke kanaka limahana o kou haukapila.
ʻO ka maʻi maʻi maʻi maʻi maʻi maʻi IV, i ʻike ʻia hoʻi ʻo ka maʻi maʻi maʻi maʻi metastatic, pili i ka maʻi kanesa i laha i nā wahi ʻē aʻe o ke kino. Hoʻopili ka lāʻau lapaʻau i ka mālama ʻana i nā hōʻailona a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola, e pili pinepine ana i ka chemotherapy, ka maʻi i manaʻo ʻia, a me ka immunotherapy. Hiki ke pipiʻi kēia mau lāʻau lapaʻau kiʻekiʻe, a ʻoi aku ka nui o ke kumukūʻai o ka mālama mau ʻana. Hoʻokomo pinepine ʻia ka mālama palliative e mālama i ka ʻeha a me nā hōʻailona ʻē aʻe. He mea nui ka hoʻolālā kālā a me ka ʻimi ʻana i nā kumuwaiwai i kēia wā. Shandong Baofa Cancer Research Institute hāʻawi i ka mālama holoʻokoʻa no nā poʻe maʻi me ka maʻi maʻi maʻi maʻi.
He ʻokoʻa ke kumukūʻai o ka mālama ʻana i ka maʻi kanesa ma muli o nā kumu he nui. Aia kēia mau mea:
| Kumukumu | Ka hopena ma ke Kumukuai |
|---|---|
| Pae o ka ma'i ma'i | ʻOi aku ke kumu kūʻai ma mua o nā pae mua. |
| ʻAno Lapaʻau | ʻOi aku ke kumukūʻai ma mua o ka chemotherapy a i ʻole radiation. Hiki ke uku nui ʻia nā lāʻau lapaʻau a me nā immunotherapies. |
| Halema'i/Kinakini | 'Oko'a ka uku ma muli o ka wahi a me ke 'ano o ka hale. |
| Ka lōʻihi o ka lapaʻau ʻana | ʻO nā lāʻau lapaʻau lōʻihi e hopena maoli i nā kumukūʻai kiʻekiʻe. |
| Mālama Kākoʻo Hou | ʻO ka lāʻau lapaʻau no nā hopena ʻaoʻao, hoʻomaʻamaʻa kino, a me nā mea ʻē aʻe, e hoʻohui i ke kumukūʻai holoʻokoʻa. |
He mea nui e kūkākūkā i ke kumukūʻai me kāu mea mālama ola ma mua a e ʻimi i nā koho no ke kōkua kālā. Nui nā halemai a me nā hui e hāʻawi i nā papahana e kōkua i ka mālama ʻana i ke kaumaha kālā o ka mālama ʻana i ka maʻi kanesa. Loaʻa nā koho lapaʻau maʻi kanesa māmā pono i ka noiʻi akahele a me ka hoʻolālā.
Hoʻokaʻawale: No ka ʻike ākea kēia ʻike a ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kamaʻilio mau me kahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka hoʻolālā lāʻau. He laulā nā koho kumukūʻai i hāʻawi ʻia a hiki ke ʻokoʻa.